第一个大动脉内膜瘤: 里卡多·洛扎诺·蒙松 (1872-1934)
Francisco S Lozano-Sanchez1,2,3, M Begoña García-Cenador2,3
1From the Department of Vascular Surgery, University Hospital of Salamanca, Salamanca, Spain.
概括
鲁道夫·马塔斯用endoaneurysmorrhaphy彻底改变了动脉瘤的治疗方法. 早期对腹腔大动脉动脉瘤的尝试失败了,但为后来的成功手术和创新铺平了道路.
科学领域:
- 血管外科 血管外科
- 医学史 医学史 医学史
背景情况:
- 动脉瘤在历史上很难治疗,通常用带治疗.
- 1888年,鲁道夫·马塔斯 (Rudolph Matas) 推出了内神经瘤学,大大提高了治疗选择.
研究的目的:
- 追踪endoaneurysmorrhaphy的历史发展和应用,特别是对于腹腔大动脉动脉瘤.
- 以突出早期的挑战和最终的成功在治疗大动脉动脉瘤的这种技术.
主要方法:
- 外科手术程序和病例报告的历史审查.
- 分析endoaneurysmorrhaphy技术的发展情况.
主要成果:
- 鲁道夫·马塔斯 (Rudolph Matas) 报告说,到1940年,对于外围动脉瘤,已经有98例成功的内神经瘤变形.
- 里卡多·洛扎诺·蒙松在1904年首次对腹腔大动脉动脉瘤进行了,虽然没有成功,但是在腹腔大动脉动脉瘤上进行了endoaneurysmorrhaphy.
- 艾萨克·A.艾萨克·A.艾萨克 (Isaac A. Isaac) 是一个美国人. 比格在1938年实现了第一个成功的腹腔大动脉动脉瘤内神经瘤修复.
结论:
- 马塔斯的内神经瘤缩小技术虽然对外围动脉瘤有效,但对大动脉动脉瘤需要适应.
- 大动脉内缩术的早期尝试为未来成功的干预和技术奠定了基础,例如克里奇技术.
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